FORM 1023-EZ for ANGEL HAVEN ANIMAL RESCUE INC

Field Data
EIN 85-2968462
Case Number EO-2021056-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGEL HAVEN ANIMAL RESCUE INC
Organization’s Mailing Address 1301 A ROUND POND ROAD
City LAKE RONKONKOMA
State NY
ZIP 11779
Accounting period End 1
Primary contact name LAURA COMERFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA COMERFORD
EXECUTIVE DIRECTOR
1301 A ROUND POND ROAD
LAKE RONKONKOMA NY 11779

Officer/Director/Trustee Two

DARREN COMERFORD
DIRECTOR
1301 A ROUND POND ROAD
LAKE RONKONKOMA NY 11779

Officer/Director/Trustee Three

DONNA ADOLPH
SECRETARY
2 RICHLANDS HILLS DR
LAKE RONKONKOMA NY 11779

Officer/Director/Trustee Four

LINDA COCHRANE HAUSSMANN
TREASURER
160 LOGANS RUN
HOLLY RIDGE NC 28445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAURA COMERFORD
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/7/2021

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